Camper’s Name  _______________________________________________________________

Age__________         Grade (Fall 2021) __________     School__________________________

Parent/Guardian’s Name  _______________________________________________________

Email Address_________________________________________________________________

Primary Phone _________________________  Secondary Phone _______________________

Emergency Contact  ____________________________________________________________

Primary Phone _________________________  Secondary Phone _______________________

How did you hear about Acadiana Cane Cutters Baseball Camps?

° At a Cane Cutters Game     ° Lafayette Little League       ° Online (Cane Cutters Site)

° Online (Facebook/Twitter)  ° Friend/Family        ° Other: ____________________________

CHECK OUT CANECUTTERSBASEBALL.COM FOR INFORMATION ON BIRTHDAY PARTIES, COMPANY OUTINGS AND FIELD OF DREAMS OPPORTUNITIES!

PLEASE LIST ANY ALLERGIES OUR STAFF NEEDS TO BE AWARE OF:

______________________________________________________________________________

T-Shirt Size (circle one)   Youth-     S        M        L             Adult-   S        M        L    

Camp Session     JUNE 28-29                                  JULY 11-12

$75 per camper

Includes: 2 day skills camp with Cane Cutters players and coaches, official Cane Cutters t-shirt, 1 child’s admission ticket to each game night of the selected camp, lunch on day 2 of camp!

I hereby authorize the directors of the Acadiana Cane Cutters Baseball Camp

to act for me according to their best judgment in an emergency, and hereby waive

and release the Camp and its staff from any liability for an injury or illness incurred while in camp.

________________________________

Parent/Guardian Signature

Complete registration forms can be mailed/dropped off

with payment (cash or check) to the Acadiana Cane Cutters:

221 La Neuville Rd.

Youngsville, LA 70592

(337) 295-5677